| Central Omaha Therapy | |
|
1941 S 42nd St Omaha NE 68105-2939 | |
| (402) 718-6444 | |
| Not Available |
| Full Name | Central Omaha Therapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1941 S 42nd St, Omaha, Nebraska |
| Authorized Official Name and Position | Stephanie Beister (THERAPIST) |
| Authorized Official Contact | 4927186444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Omaha Therapy 16520 Adams Cir Omaha NE 68135-5351 Ph: (402) 718-6444 | Central Omaha Therapy 1941 S 42nd St Omaha NE 68105-2939 Ph: (402) 718-6444 |
| NPI Number | 1659013514 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 06/04/2022 |
| Certification Date | 06/02/2022 |
| Medicare PECOS PAC ID | 7012397250 |
|---|---|
| Medicare Enrollment ID | O20220706003111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659013514 | NPI | - | NPPES |
| 10027071800 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephanie L Beister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093480808 PECOS PAC ID: 7214332071 Enrollment ID: I20210818000250 |
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